Provider Demographics
NPI:1215729207
Name:ATANASOVA, ELENA I (FNP)
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:I
Last Name:ATANASOVA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4143 CALIFORNIA AVE SW UNIT B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-4666
Mailing Address - Country:US
Mailing Address - Phone:206-353-4058
Mailing Address - Fax:
Practice Address - Street 1:4143 CALIFORNIA AVE SW UNIT B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-4666
Practice Address - Country:US
Practice Address - Phone:206-353-4058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60096408163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse